The prognostic significance of exercise-induced silent ST-segment depression in patients after myocardial infarction
スポンサーリンク
概要
- 論文の詳細を見る
To evaluate the prognostic value of exercise-induced silent ST-segment depression, 157 patients who had suffered myocardial infarction underwent symptom-limited exercise testing and coronary angiography. Patients were divided into 3 groups according to the presence or absence of ischemic ST-segment depression and angina during exercise testing. Group A patients had ST-segment depression without angina. Group B patients had both ST-segment depression and angina. Group C patients had neither ST-segment depression nor angina. A11 patients were followed without coronary artery bypass graft or percutaneous transluminal coronary angioplasty for an average of 36 months and the frequency of coronary events (cardiac death, recurrent myocardial infarction and unstable angina pectoris) was compared. Group A patients had less severe coronary artery disease, greater coronary reserve during exercise and exercised longer than group B. However, the prognosis of group A was similar to group B, and was worse than group C. Using the Cox proportional hazards model, ischemic ST-segment depression was the most useful index for predicting future coronary events among the baseline values, coronary angiographic and exercise testing variables. However, angina during exercise testing was not an independent predictor. Thus, post-infarction patients showing exercise-induced ST-segment depression should be treated carefully regardless of the presence or absence of angina.
- 社団法人日本循環器学会の論文
- 1993-03-20
著者
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Sato Hiroshi
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Takeuchi Toru
The second division of internal medicine, Tokyo medical college
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Ibukiyama Chiharu
Second Department Of Internal Medicine Tokyo Medical University
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Ibukiyama Chiharu
The Second Department Of Internal Medicine Tokyo Medical University
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Ibukiyama Chiharu
The Second Department Of Internal Medicine Tokyo Medical College
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Miura Takeshi
The Second Department of Internal Medicine, Hirosaki University School of Medicine
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Uchiyama Takashi
The Second Department of Internal Medicine, Tokyo Medical College
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Toyoda Tetsu
The Second Department of Internal Medicine, Tokyo Medical College
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Sato Hiroshi
The Second Department Of Internal Medicine Tokyo Medical University
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Toyoda Tetsu
The Second Department Of Internal Medicine Tokyo Medical College
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Toyoda Tetsu
Division Of Cardiology Hachioji Medical Center
-
Takeuchi Toru
The Second Department Of Internal Medicine Tokyo Medical University
-
Miura Takeshi
The Second Department Of Internal Medicine Tokyo Medical University
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Ibukiyama Chiharu
The 2nd Department Of Internal Medicine Tokyo Medical College
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Ibukiyama Chiharu
2nd Department Of Internal Medicine Tokyo Medical College Tokyo
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Utiyama Takasi
Division of Cardiology Hatiouji Medical Center
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Uchiyama Takashi
The Second Department Of Internal Medicine Tokyo Medical College
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TAKAHASHI NAOKO
The Second Department of Internal Medicine. Tokyo Medical College, Tokyo, Japan
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Takahashi Naoko
Second Department Of Internal Medicine Tokyo Medical College
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Ibukiyama Chiharu
Tokyo Madical College
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Uchiyama Takashi
Division Of Cardiology Hatiouji Medical Center
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Sato Hiroshi
The Second Department Of Internal Medicine
-
Takeuchi Toru
Department Of Internal Medicine Tokyo Medical College
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Satoh Hisashi
Department Of Internal Medicine Tokyo Medical College
-
Takeuchi Toru
The Second Department Of Internal Medicine Tokyo Medical College
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Ibukiyama Chiharu
The 2nd Dept. Of Intern.med. Tokyo Medical College
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TAKAHASHI Naoko
the Second Department of Internal Medicine, Sapporo Medical College
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